Claim total
$45,288.44
base $155.66 · payer covered $45,238.44
The visit
- Class
- Ambulatory
- Code
- 424441002
- Reason
- diagnosis concept Normal pregnancy72892002
- Start
- 2022-08-16
- Stop
- 2022-08-16
The parties
- Patient
- patient Lorena Marilu Paredes
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0a28d644-c9bb-51b3-2fc9-e012d367426b